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1003214131
KELLY WOLKE
CANTON, OH
NPI
1003214131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN.099066-M-IV)
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
-- KELLY WOLKE LPN
2421 13TH ST NW
CANTON, OH 44708-3116
Phone number: 330-588-2207
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Mailing Address
-- KELLY WOLKE LPN
2421 13TH ST NW
CANTON, OH 44708-3116
Phone number: 330-588-2207
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